Monorails aren't done by Dr Parihar for CLL because unlike with standard frames you have nothing to hold the foot in a neutral position while resting and that makes it easier to develop equinus contracture. There's apparently other complications such as x-legs that can be caused by them if the doctor doesn't install them perfectly.
Quote from: onemorefoot on February 25, 2017, 09:28:38 PMParihar told that nobody of his patients has experimented that knee pain. Being a professional like him, he will tell you the advantages and disadvantages of each method, If I were you I would go for LON, even Kilo wrote in his diary that if he could come back in time he would go for LON, being in frames for over a year is HELL!!!
When you go for your consultation with Dr. Parihar, can you ask him one thing for your friend, onemorefoot 
If severe equinus happens, can we consider the option of percutaneous techniques? Does it leave the Achilles tendon weak?
had a meeting with parihar, it was a 3 step meeting, first was with someone else who jotted down my story, why i want LL, my stats etc. next was dr ahuja, who cleared my questions...yet to have my meeting with dr. Parihar.
So I did ask your question. The answer was yes, it could be done safely(without weakening) if done carefully.
Yet to meet Parihar.
Dr. Ahuja also said that the 5-6cm max is based on an observation and they say it so that the patient is happy to accept that as a worst case. So anything over that would be a bonus. He said a lot depends on your muscles.
Quote from: onemorefoot on February 25, 2017, 09:28:38 PMParihar told that nobody of his patients has experimented that knee pain. Being a professional like him, he will tell you the advantages and disadvantages of each method, If I were you I would go for LON, even Kilo wrote in his diary that if he could come back in time he would go for LON, being in frames for over a year is HELL!!!
When you go for your consultation with Dr. Parihar, can you ask him one thing for your friend, onemorefoot
If severe equinus happens, can we consider the option of percutaneous techniques? Does it leave the Achilles tendon weak?
had a meeting with parihar, it was a 3 step meeting, first was with someone else who jotted down my story, why i want LL, my stats etc. next was dr ahuja, who cleared my questions...yet to have my meeting with dr. Parihar.
So I did ask your question. The answer was yes, it could be done safely(without weakening) if done carefully.
Yet to meet Parihar.
Dr. Ahuja also said that the 5-6cm max is based on an observation and they say it so that the patient is happy to accept that as a worst case. So anything over that would be a bonus. He said a lot depends on your muscles.
Had a meeting with Dr. Parihar, but unlike expected (which i thought would be more LL related), he asked me to consult a psychiatrist first as well, so he could be sure that my situation is nothing other than height dysphoria.
However i did manage to get my doubts clear from Dr. Ahuja. And also i told him(Ahuja) the Docs i have shortlisted and also asked his opinion on Russian Docs, he took Dr. Solomin's name without thinking twice, although he expressed his doubts if Solomin does CLL.
Quote from: fivetenneeded2016 on March 03, 2017, 02:49:22 PMhad a meeting with parihar, it was a 3 step meeting, first was with someone else who jotted down my story, why i want LL, my stats etc. next was dr ahuja, who cleared my questions...yet to have my meeting with dr. Parihar.
So I did ask your question. The answer was yes, it could be done safely(without weakening) if done carefully.
Yet to meet Parihar.
Dr. Ahuja also said that the 5-6cm max is based on an observation and they say it so that the patient is happy to accept that as a worst case. So anything over that would be a bonus. He said a lot depends on your muscles.
If atl is done carefully, then the weakening will be less than tendon overlengthening.
But atl without tendon weakening is completely impossible.
Every doctor who said otherwise should not be trusted.
If you don't believe me (that I had atl) then try on your own this surgery and then you'll regret it for all your life or you'll try to fix it with at shortening surgery.
I dont remember if Parihar asked to consult wuth psychiatrist first to the other patients, that is weird.
Yeah I remember reading that parihar would only do it unless absoultely necessary. Usually he would recomend not to do the atl.
Dr Parihar and Dr Ahuja sometimes respond with slightly different answers from each other to the same question. Dr Parihar told me that with the data available on ATL side-effects there is a certain amount of weakness that happens afterward, but you should be able to get back to recreational sports. I think he'd rather not do ATL if possible but for severe cases of ballerina will do it if the person is going through months of pain and unable to walk as a result of excessive over-lengthening.
Was his suggestion to see a psyciatrist something he said at the end of the consultation or did he get to that point right away? What kind of things did he ask you?
Quote from: onemorefoot on March 03, 2017, 07:07:13 PMI dont remember if Parihar asked to consult wuth psychiatrist first to the other patients, that is weird.
He told me that he has become more strict with who he accepts as a patient for CLL. It's possible he'd say the same to me if I consulted with him these days.
Is good that Parihar recommends Solomin. Do you know why he became more strict with CLL patients?
Quote from: onemorefoot on March 03, 2017, 07:13:32 PMDo you know why he became more strict with CLL patients?
He didn't pinpoint one specific reason, but he said that not operating on a patient that he is not convinced will benefit from surgery is as much a part of his duty as a surgeon as operating on someone who he thinks will benefit. He also said that part of the skill of being a surgeon is knowing when not to do surgery on somebody. He wants to be sure a prospective CLL patient has the right motivation and willpower to get leg lengthening, so I wouldn't be surprised if recommending prospective patients talk to a professional first becomes or has already become routine for him.
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